Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fayetteville Plastic Surgery Specialists, PA

Organization Plastic Surgery Physician · NPI 1093808388

Fayetteville Plastic Surgery Specialists, PA is a Plastic Surgery Physician in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1774 Metromedical Dr
Fayetteville, NC 28304-3861
Phone: (910) 323-1203
Fax: (910) 483-1130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 27390 (NC)

Record details

NPI number1093808388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Horace Miller — President · (910) 323-1203
NPI enumeratedOctober 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1774 Metromedical Dr, Fayetteville, NC 28304-3861

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